Plus-Up Lifting vs. Facelift: Understanding the Differences in K-Beauty Anti-Aging Surgery

Table of Contents

One of the most frequently asked questions we receive during consultations is: “What is the exact difference between Plus-Up Lifting and a Facelift?”

In the world of plastic surgery, a procedure might go by the same name at different clinics, but the surgical methods can vary significantly. While they may look similar on the surface, the specific techniques and approaches applied are often quite different.

To help you make an informed decision about your anti-aging journey, we are breaking down the clear differences between Plus-Up Lifting and a full Facelift, based on our strict surgical standards at Planet Clinic.

What is Plus-Up Lifting? (The Standard Facelift Alternative)

Interestingly, the surgery commonly marketed as a “facelift” at many other clinics is actually very similar to what we call Plus-Up Lifting.

At Planet Clinic, Plus-Up Lifting involves an incision starting from the hairline and extending about two-thirds of the way down behind the ear. Using an advanced dual-plane technique, we carefully separate the skin layer from the SMAS (superficial musculoaponeurotic system) fascia layer, pulling and securing them in optimal, separate directions for a natural lift.

We perform an even and precise dissection just above the SMAS layer. By immediately managing any bleeding as it occurs, we ensure a clean surgical field and minimize postoperative swelling.

Before and after 1 month of Plus-Up Lifting and Buccal Fat Removal at Planet Plastic Surgery

Who is the Ideal Candidate for Plus-Up Lifting?

For patients in their 30s or 40s experiencing facial sagging—especially after facial contouring or two-jaw (orthognathic) surgery—skin laxity usually has not progressed down to the neck. For these individuals, Plus-Up Lifting provides excellent, targeted improvement.

How Does Planet Clinic’s Full Facelift Differ?

If Plus-Up Lifting is so effective, why do we offer a separate Facelift procedure? Because we offer a much more extensive, comprehensive surgical option.

While many clinics consider the Plus-Up technique to be the maximum extent of a standard facelift, we take it a step further to address severe aging signs, particularly in the lower face and neck.

Here are the three main differences that set a full Facelift apart:

1. The Extent of the Incision

For a full facelift, the incision line continues completely behind the ear and connects seamlessly into the hairline. This extended access allows for a more definitive lift, directly targeting stubborn neck wrinkles.

2. The Scope of Dissection

While Plus-Up Lifting stops at the jawline, our Facelift dissects much further down into the neck. This allows us to address severe neck sagging and deep wrinkles at a fundamental, structural level.

3. The Area of Improvement

  • Plus-Up Lifting: Primarily targets sagging in the front cheeks, side cheeks, jawline, and double chin.
  • Full Facelift: Improves all facial areas while simultaneously tightening neck wrinkles and rejuvenating the eye area.

Medical Insight: According to guidelines from the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), patient satisfaction is reported to be about 40% higher when extensive dissection, including the neck, is performed on patients who need it.

Recovery and Specialized Aftercare

Both surgeries take approximately 4 hours to complete due to the wide area of dissection and the delicate tissues involved. However, a longer surgery does not mean a slower recovery.

Because our surgeons meticulously control bleeding at every site, post-operative swelling and bruising are kept to an absolute minimum. Furthermore, our surgical technique is advanced enough that we do not require the use of uncomfortable blood drains (hemovacs).

Following your procedure, you will receive systematic care through our “Golden Plan” Aftercare Program. Overseen by a standing director of the ISO International Medical Beauty Safety Association, you will receive step-by-step care on days 1, 3, 7, and 10, followed by comprehensive monthly check-ups for up to 3 months.

How to Choose the Right Procedure for You

Not everyone needs a full facelift. If your sagging is confined strictly to the face, Plus-Up Lifting will provide a beautiful, youthful result. Conversely, if skin laxity has progressed to your neck, a full Facelift is highly recommended for a harmonious, natural look.

When choosing a plastic surgery clinic in Korea, remember this crucial advice: Focus on the surgical details, not the marketing names. Instead of asking, “Do you perform Plus-Up Lifting or Facelifts?”, we highly recommend asking:

  • “For my current condition, how extensive does the dissection need to be?”
  • “Should the procedure include my neck area as well?”

During your consultation at Planet Clinic, our medical team will personally examine your facial structure, accurately assess the degree of sagging, and provide an honest, transparent recommendation. We never push for excessive surgery, nor do we suggest inadequate methods.

Ready to find the perfect anti-aging solution for your skin? Contact Planet Clinic today to schedule your personalized consultation.

FAQ

Q1. What is the main difference between Plus-Up Lifting and a full Facelift?

A. The primary difference lies in the surgical scope—specifically the extent of the incision and the area of dissection. Plus-Up Lifting targets sagging in the cheeks and jawline, with an incision that stops about two-thirds of the way down behind the ear. A full Facelift extends the incision completely behind the ear and further down into the neck, allowing us to simultaneously correct severe neck wrinkles and deeper sagging.

Q2. How do I know if I need Plus-Up Lifting or a full Facelift?

A. If your skin sagging is strictly confined to your face—which is common for patients in their 30s and 40s or those who have had facial contouring surgery—Plus-Up Lifting is usually sufficient. However, if you are in your 50s or older and have noticeable neck laxity, neck wrinkles, or a heavy double chin, a full Facelift is highly recommended to achieve a harmonious, youthful result.

Q3. Will I need to wear blood drains (hemovacs) after the surgery?

A. No, you will not. Because our surgeons meticulously control bleeding step-by-step throughout the procedure, post-operative swelling and bruising are kept to an absolute minimum. Thanks to this advanced surgical technique, our patients do not need to endure the discomfort of wearing blood drains during their recovery.

Q4. Are the surgeries time-consuming, and does that mean a slower recovery?

A. Both procedures take approximately 4 hours due to the delicate tissues involved and the wide area of dissection required for a flawless result. However, a longer surgery time does not mean a slower recovery. Our precise tissue separation (using a dual-plane technique) and strict bleeding control actually promote a smoother, more comfortable healing process.

Q5. What kind of aftercare is provided once the surgery is complete?

A. We provide a highly systematic, 3-month “Golden Plan” Aftercare Program to ensure optimal healing. Overseen by a standing director of the ISO International Medical Beauty Safety Association, the program includes closely monitored, step-by-step care on days 1, 3, 7, and 10, followed by comprehensive check-ups at the 1, 2, and 3-month marks.

Picture of Dr.Shin
Dr.Shin

Hello. I am Dr. Dong-woo Shin, Chief Surgeon at Planet Plastic Surgery.

As a board-certified plastic surgeon, I started this blog to provide accurate and reliable information directly to those who are considering cosmetic procedures or surgeries, particularly facelifts.
 
My sincere hope is that you are able to gather the right information and make fully informed decisions before moving forward with any treatment or surgery.